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Individual

JAMES GERALD BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1221 E NORTHLAND AVE, APPLETON, WI 54911-8415
(920) 954-1002
(920) 954-1006
Mailing address
N9649 GOLDEN WAY, APPLETON, WI 54915-7492
(920) 954-1002
(920) 954-1006

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2527-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38940600
WI
Enumeration date
01/08/2007
Last updated
07/08/2007
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